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Register a new userLesion Segmentation and RECIST Diameter Prediction via Click-driven Attention and Dual-path Connection
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Measuring lesion size is an important step to assess tumor growth and monitor disease progression and therapy response in oncology image analysis. Although it is tedious and highly time-consuming, radiologists have to work on this task by using RECIST criteria (Response Evaluation Criteria In Solid Tumors) routinely and manually. Even though lesion segmentation may be the more accurate and clinically more valuable means, physicians can not manually segment lesions as now since much more heavy laboring will be required. In this paper, we present a prior-guided dual-path network (PDNet) to segment common types of lesions throughout the whole body and predict their RECIST diameters accurately and automatically. Similar to [1], a click guidance from radiologists is the only requirement. There are two key characteristics in PDNet: 1) Learning lesion-specific attention matrices in parallel from the click prior information by the proposed prior encoder, named click-driven attention; 2) Aggregating the extracted multi-scale features comprehensively by introducing top-down and bottom-up connections in the proposed decoder, named dual-path connection. Experiments show the superiority of our proposed PDNet in lesion segmentation and RECIST diameter prediction using the DeepLesion dataset and an external test set. PDNet learns comprehensive and representative deep image features for our tasks and produces more accurate results on both lesion segmentation and RECIST diameter prediction.
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In clinical trials, one of the radiologists routine work is to measure tumor sizes on medical images using the RECIST criteria (Response Evaluation Criteria In Solid Tumors). However, manual measurement is tedious and subject to inter-observer variability. We propose a unified framework named SEENet for semi-automatic lesion textit{SE}gmentation and RECIST textit{E}stimation on a variety of lesions over the entire human body. The user is only required to provide simple guidance by clicking once near the lesion. SEENet consists of two main parts. The first one extracts the lesion of interest with the one-click guidance, roughly segments the lesion, and estimates its RECIST measurement. Based on the results of the first network, the second one refines the lesion segmentation and RECIST estimation. SEENet achieves state-of-the-art performance in lesion segmentation and RECIST estimation on the large-scale public DeepLesion dataset. It offers a practical tool for radiologists to generate reliable lesion measurements (i.e. segmentation mask and RECIST) with minimal human effort and greatly reduced time.
In this work, we propose a new segmentation network by integrating DenseUNet and bidirectional LSTM together with attention mechanism, termed as DA-BDense-UNet. DenseUNet allows learning enough diverse features and enhancing the representative power of networks by regulating the information flow. Bidirectional LSTM is responsible to explore the relationships between the encoded features and the up-sampled features in the encoding and decoding paths. Meanwhile, we introduce attention gates (AG) into DenseUNet to diminish responses of unrelated background regions and magnify responses of salient regions progressively. Besides, the attention in bidirectional LSTM takes into account the contribution differences of the encoded features and the up-sampled features in segmentation improvement, which can in turn adjust proper weights for these two kinds of features. We conduct experiments on liver CT image data sets collected from multiple hospitals by comparing them with state-of-the-art segmentation models. Experimental results indicate that our proposed method DA-BDense-UNet has achieved comparative performance in terms of dice coefficient, which demonstrates its effectiveness.
Skin lesion segmentation is a crucial step in the computer-aided diagnosis of dermoscopic images. In the last few years, deep learning based semantic segmentation methods have significantly advanced the skin lesion segmentation results. However, the current performance is still unsatisfactory due to some challenging factors such as large variety of lesion scale and ambiguous difference between lesion region and background. In this paper, we propose a simple yet effective framework, named Dual Objective Networks (DONet), to improve the skin lesion segmentation. Our DONet adopts two symmetric decoders to produce different predictions for approaching different objectives. Concretely, the two objectives are actually defined by different loss functions. In this way, the two decoders are encouraged to produce differentiated probability maps to match different optimization targets, resulting in complementary predictions accordingly. The complementary information learned by these two objectives are further aggregated together to make the final prediction, by which the uncertainty existing in segmentation maps can be significantly alleviated. Besides, to address the challenge of large variety of lesion scales and shapes in dermoscopic images, we additionally propose a recurrent context encoding module (RCEM) to model the complex correlation among skin lesions, where the features with different scale contexts are efficiently integrated to form a more robust representation. Extensive experiments on two popular benchmarks well demonstrate the effectiveness of the proposed DONet. In particular, our DONet achieves 0.881 and 0.931 dice score on ISIC 2018 and $text{PH}^2$, respectively. Code will be made public available.
Despite tremendous efforts, it is very challenging to generate a robust model to assist in the accurate quantification assessment of COVID-19 on chest CT images. Due to the nature of blurred boundaries, the supervised segmentation methods usually suffer from annotation biases. To support unbiased lesion localisation and to minimise the labeling costs, we propose a data-driven framework supervised by only image-level labels. The framework can explicitly separate potential lesions from original images, with the help of a generative adversarial network and a lesion-specific decoder. Experiments on two COVID-19 datasets demonstrate the effectiveness of the proposed framework and its superior performance to several existing methods.
Brain lesion volume measured on T2 weighted MRI images is a clinically important disease marker in multiple sclerosis (MS). Manual delineation of MS lesions is a time-consuming and highly operator-dependent task, which is influenced by lesion size, shape and conspicuity. Recently, automated lesion segmentation algorithms based on deep neural networks have been developed with promising results. In this paper, we propose a novel recurrent slice-wise attention network (RSANet), which models 3D MRI images as sequences of slices and captures long-range dependencies through a recurrent manner to utilize contextual information of MS lesions. Experiments on a dataset with 43 patients show that the proposed method outperforms the state-of-the-art approaches. Our implementation is available online at https://github.com/tinymilky/RSANet.
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